Characteristics of Patients with Positive Cervical Cancer Screening using Visual Inspection with Acetic Acid (VIA) in Bantul District 2023: A Descriptive Study

Muhammad Reza Firdaus, Nilna Sa'adatar Rohmah, Samsu Aryanto, Bayu Satria Wiratama

Abstract


Background: Cervical cancer is the second leading cause of death in Indonesia and is one of the largest burdens on health costs. This study aims to determine the distribution of characteristics of positive cervical cancer screening patients in the Bantul District. Method: A descriptive study using data from cervical cancer screening reports at Bantul District Health Office in 2023 was conducted to observe treatment outcomes, demographic factors (education, age, working status, marital status, and address), nutritional status, and behavior. Cervical cancer screening was done using Visual Inspection with Acetic Acid (VIA). Proportions were calculated for univariate analysis. Results: There were 1,587 females screened and 40 people (2,5%) were positive. Among those positive cases, only 7.5% received cryotherapy and 55% were referred to other health centers (either primary centers with cryotherapy facilities or secondary centers for further treatment). Most of positive cases married (25/25; 100%), non-drinker of alcohol (25/25; 100%), non-smoker (25/25; 100%), had high education levels (17/23; 73.9%), overweight (15/22; 68.2%), 20-44 years old (26/40; 65%), were not working (16/25; 64%), did not regularly consume fruits and vegetables (16/25; 64%), and active physical activity (13/25; 52%). There were variables with missing data ranging from 37.5% to 45%, with the variable that had the most missing data being BMI, while the variable with the most complete data was age. The positive cases were distributed across 9 sub-districts (52,9%). Conclusion: The majority of positive cases were married, non-drinkers of alcohol, non-smokers, higher education levels, overweight, 20-44 years old, not working, unhealthy dietary habits, active physical activity, and 37.5% unknown follow-up. These findings underline the need for targeted interventions to improve follow-up care and conduct follow-up studies regarding risk factors of cervical cancer.

Keywords


Bantul; Characteristics; Cervical Cancer; VIA

Full Text:

PDF

References


Angriani, S. D., Natosba, J., & Girsang, B. M. (2019). Faktor Determinan Partisipasi Perempuan Usia Berisiko dalam Pemeriksaan Inspeksi Visual Asam Asetat (IVA). JKM Cendikia Utama, 6(2), 19–38. https://doi.org/10.31596/jkm.v6i2.294

Bantul District Health Office. (2024). Offline Report of VIA Screening of Bantul District Health Office in 2023. Bantul: Bantul District Health Office.

Bruni, L., Albero, G., Serrano, B., Mena, M., Collado, J. J., Gómez, D., … de Sanjosé, S. (2023). ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre) (Human Papillomavirus and Related Diseases in the World No. Summary Report 10 March 2023.). Retrieved from https://hpvcentre.net/statistics/reports/XWX.pdf

Centers for Disease Control and Prevention. (2024). Health Effects of Cigarettes: Cancer. Retrieved September 9, 2024, from Smoking and Tobacco Use website: https://www.cdc.gov/tobacco/about/cigarettes-and-cancer.html

Damailia, H. T., & Oktavia, T. R. (2015). Faktor-Faktor Determinan Deteksi Dini Kanker Serviks Melalui Metode Pap Smear Pada Pasangan Usia Subur (PUS). GASTER: Jurnal Kesehatan, 12(2), 99–107. https://doi.org/10.30787/gaster.v12i2.95

Floud, S., Hermon, C., Simpson, R. F., & Reeves, G. K. (2023). Alcohol consumption and cancer incidence in women: Interaction with smoking, body mass index and menopausal hormone therapy. BMC Cancer, 23, 758. https://doi.org/10.1186/s12885-023-11184-8

Global Cancer Observatory. (2022a). Age-Standardized Rate (World) per 100 000, Incidence and Mortality, Both sexes, age [0-74], in 2022. France: International Agency for Research on Cancer. Retrieved from International Agency for Research on Cancer website: https://gco.iarc.who.int/today/

Global Cancer Observatory. (2022b). Age-Standardized Rate (World) per 100 000, Incidence and Mortality of Cervix Uteri, Females, age [0-74], in 2022. France: International Agency for Research on Cancer. Retrieved from International Agency for Research on Cancer website: https://gco.iarc.who.int/today/

Hwang, J. H., Lee, J. K., Kim, T. J., & Kim, M. K. (2010). The association between fruit and vegetable consumption and HPV viral load in high-risk HPV-positive women with cervical intraepithelial neoplasia. Cancer Causes & Control: CCC, 21(1), 51–59. https://doi.org/10.1007/s10552-009-9433-9

Kementerian Kesehatan Republik Indonesia. (2013). Pedoman Teknis Pengendalian Kenker Payudara dan Kanker Leher Rahim. Jakarta: Direktorat Pengendalian Penyakit Tidak Menular.

Kementerian Kesehatan Republik Indonesia. (2023). Kemenkes Canangkan Perluasan Imunisasi Gratis Untuk Cegah Kanker Leher Rahim. Sehat Negeriku. Retrieved from https://sehatnegeriku.kemkes.go.id/baca/umum/20230809/5743643/kemenkes-canangkan-perluasan-imunisasi-gratis-untuk-cegah-kanker-rahim/

Lacey, J. V., Swanson, C. A., Brinton, L. A., Altekruse, S. F., Barnes, W. A., Gravitt, P. E., … Hildesheim, A. (2003). Obesity as a potential risk factor for adenocarcinomas and squamous cell carcinomas of the uterine cervix. Cancer, 98(4), 814–821. https://doi.org/10.1002/cncr.11567

Lee, J. K., So, K. A., Piyathilake, C. J., & Kim, M. K. (2013). Mild obesity, physical activity, calorie intake, and the risks of cervical intraepithelial neoplasia and cervical cancer. PloS One, 8(6), e66555. https://doi.org/10.1371/journal.pone.0066555

Maruthur, N., Bolen, S., Brancati, F., & Clark, J. (2009). The Association of Obesity and Cervical Cancer Screening: A Systematic Review and Meta-Analysis. Obesity (Silver Spring, Md.), 17(2), 375–381. https://doi.org/10.1038/oby.2008.480

National Cancer Institute. (2022). Cervical Cancer Causes, Risk Factors, and Prevention [pdqCancerInfoSummary]. Retrieved September 9, 2024, from https://www.cancer.gov/types/cervical/causes-risk-prevention

Novalia, V. (2023). Kanker Serviks. GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh, 2(1), 45–56. https://doi.org/10.29103/jkkmm.v2i1.10134

Octaliana, H., Wathan, F. M., Aisyah, S., & Januar, R. (2022). Analisis Determinan Keikutsertaan WUS dalam Pemeriksaan IVA untuk Deteksi Dini Kanker Serviks dengan HBM. Care : Jurnal Ilmiah Ilmu Kesehatan, 10(2), 315–327. https://doi.org/10.33366/jc.v10i2.2139

Parwanto, M. L. E. (2019). Kanker serviks dan gen Fas-promoter-670. Jurnal Biomedika dan Kesehatan, 2(3), 90–91. https://doi.org/10.18051/JBiomedKes.2019.v2.90-91

Reza, T., & Friadi, A. (2022). Faktor Resiko terjadinya Lesi Prakanker Serviks melalui Deteksi Dini dengan Metode IVA (Inspeksi Visual dengan Asam Asetat). Jurnal Kesehatan Saintika Meditory, 5(2), 1–12. https://doi.org/10.30633/jsm.v5i2.1566

Rumah Sakit Umum Pusat Dr. Sardjito. (2024). Regstrasi Kanker Berbasis Rumah Sakit (RKBR) Periode Desember 2023. Yogyakarta: RSUP Dr. Sardjito. Retrieved from RSUP Dr. Sardjito website: https://canreg.fk.ugm.ac.id/laporan-data/registrasi-kanker-berbasis-rumah-sakit-dr-sardjito-fkkmk-ugm/rkbr-desember-2023/

Su, B., Qin, W., Xue, F., Wei, X., Guan, Q., Jiang, W., … Yu, S. (2018). The relation of passive smoking with cervical cancer: A systematic review and meta-analysis. Medicine, 97(46), e13061. https://doi.org/10.1097/MD.0000000000013061

Sulistiono, D., Mawardi, A. F., & Widjonarko, W. (2018). Penentuan Prioritas Pembangunan Infrastruktur Jalan untuk mengatasi Wilayah Kabupaten/Kota di Provinsi Jawa Timur yang mempunyai Aksesbilitas Rendah. IPTEK Journal of Proceedings Series, (5), 149–158. https://doi.org/10.12962/j23546026.y2018i5.4434

Tomita, L. Y., Horta, B. L., da Silva, L. L. S., Malta, M. B., Franco, E. L., & Cardoso, M. A. (2021). Fruits and vegetables and cervical cancer: A systematic review and meta-analysis. Nutrition and Cancer, 73(1), 62–74. https://doi.org/10.1080/01635581.2020.1737151

Utami, P. P., Supriwandani, H., & Munawwarah, Z. (2023). Status Perkawinan dan Pekerjaan Pasien Dengan IVA (+) Positif di Poli KB dan Kandungan Rumah Sakit Umum Daerah Provinsi NTB. Jurnal Ilmu Kesehatan Dan Farmasi, 11(2), 50–52. https://doi.org/10.51673/jikf.v11i2.2037

Wahidin, M., Febrianti, R., & Sukoco, N. E. W. (2020). Program Skrining Kesehatan Tertentu di Kota Bogor, Jawa Barat. JPP (Jurnal Kesehatan Poltekkes Palembang), 15(1), 21–29. https://doi.org/10.36086/jpp.v15i1.455

Wahyuningsih, T., & Mulyani, E. Y. (2014). Faktor Resiko Terjadinya Lesi Prakanker Serviks Melalui Deteksi dengan Metode IVA (Inspeksi Visual dengan Asam Asetat). Forum Ilmiah, 11(02), 1–18.

World Health Organization. (2018). Improving data for decision-making: A toolkit for cervical cancer prevention and control programmes. Geneva: World Health Organization.

World Health Organization. (2020). Global strategy to accelerate the elimination of cervical cancer as a public health problem. Geneva: World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789240014107

World Health Organization. (2024). Cervical cancer. Retrieved September 9, 2024, from https://www.who.int/news-room/fact-sheets/detail/cervical-cancer

Wulandari, S., & Viridula, E. Y. (2023). Hubungan antara Tingkat Pendidikan dengan Sikap Pasangan Usia Subur tentang Pemeriksaan Inspeksi Visual Asam Asetat (IVA). Jurnal Bidan Pintar, 4(1), 435–442. https://doi.org/10.30737/jubitar.v4i1.4215

Xing, J., Zhu, T., Zhang, J., Yang, W., & Yu, A.-J. (2022). Association between Prestored Smartphone Monitored Physical Activity and the Risk of HPV Infection and Cervical Cancer. Asian Pacific Journal of Cancer Prevention : APJCP, 23(10), 3393–3404. https://doi.org/10.31557/APJCP.2022.23.10.3393




DOI: https://doi.org/10.35308/j-kesmas.v12i1.11337

Refbacks

  • There are currently no refbacks.


Managed by Fakultas Kesehatan Masyarakat

Published by Universitas Teuku Umar
Website: http://jurnal.utu.ac.id/jkesmas
Email: jkemas@utu.ac.id

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.